What symptoms do physicians typically order for genetic testing for rare disease?


Rare diseases may individually affect a small number of people, but collectively, they impact a significant portion of the population.

As a company that helps diagnose rare genetic diseases, we usually meet new physicians or researchers from around the world. Some of them are already familiar with genetics, while others are not.

3billion portal order


Despite the fact that the genetic testing offered by 3billion (WES or WGS) do not target specific disease groups, many healthcare providers still have questions about their diagnostic coverage.

There's a common question we hear whenever we meet with physicians with relatively little experience ordering genetic testing.

"I'm not sure which of my patients I should suggest your test for. What about other physicians, do they have specific criteria? What symptoms do they typically order for genetic testing for rare disease?" they say.

Top symptoms rare disease


So today, I've listed TOP 40 most common symptoms that healthcare providers who use 3billion actually write in their test request form. This is real data, so I hope it's helpful to those who were curious.

Top 40 symptoms (2022.09 - 2023.08)

Top symptoms physicians write

They are listed by the highest number of entries and have nothing to do with the diagnosis rate.

1. Developmental delay

2. Intellectual disability

3. Seizures

4. Left Ventricular hypertrophy

5. Hypotonia

6. Motor

7. Microcephaly

8. Short stature

9. Epilepsy

10. Pain

11. Dysmorphsim

12. Autism (Spectrum Disorder)

13. Myopathy

14. Heart failure

15. Proteinuria

16. Failure to thrive

17. Scoliosis

18. Neurodevelopmental delay

19. Speech nelay

20. Macrocephaly

21. Hpyertelorism

22. Growth retardation

23. Hypothyroidism

24. Starbismus

25. Stroke

26. Arrhythmias

27. Blindness

28. Dystonia

29. Obesity

30. Atrial septal defect

31. Small for gestational age

32. Ventricular septal defect

33. Hearing loss

34. Nystagmus

35. Learning difficulties

36. Decreased visual acuity

37. Gait disturbance

38. Cryptorchidism

39. Micrognathia

40. Skeletal dysplasia

Additional information

- On average, physicians entered 3.75 symptoms per patient on average.

- The more symptoms you enter, up to an average of 5-7, the higher the diagnosis rate tends to be.

- 3billion re-analyze undiagnosed cases every day, so it'll be helpful to add more symptoms your patient may newly have. For genetic disorders with relatively late onset symptoms, the diagnosis rate may increase if additional that were not initially seen are entered.

Who should get genetic testing?

Indication

- Patients suspected of having monogenic disorders

  • Identify if there are any visible or palpable signs of a genetic disorder, such as facial features, growth abnormalities, or organ abnormalities.

- Patients with a family history of genetic disorders

- Patients from parents with a history of recurrent pregnancy loss

Why should physicians suspect rare genetic diseases in their patients?

Still nowadays, rare diseases often go unrecognized and missed because of its' diversity and lack of awareness. But early diagnosis and early intervention with the proper treatment is the only way to ensure your child reaches their full potential.

If a physician is aware of the common symptoms of rare diseases, he or she can consider it as a possibility and conduct the necessary tests or refer the patient to a specialist, potentially leading to a quicker diagnosis.



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